| NPI | 1457447344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25ma02843000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA02843000) |
| 207R00000X Internal Medicine (Licence: NY 117527) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 117527) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA02843000) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-06-21 |