| NPI | 1467870113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NJ 25MA12464000) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD479438) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: PA MD479438) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-11-27 |