| NPI | 1356890560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA09974400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09974400) |
| 207R00000X Internal Medicine (Licence: NY 289954) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2022-08-29 |