| NPI | 1518963875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.152190) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NJ 25MA07892700) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2024-12-18 |