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 |