| NPI | 1386690840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA10222700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 24879) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-01-11 |