| NPI | 1376627737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ ma062155) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ ma062155) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-06-16 |