| NPI | 1518901784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME0057900) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D27686) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA04425300) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 158253-1) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |