NPI | 1407852676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA07352100) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD069087L) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2025-04-09 |