NPI | 1598044273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA10046800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10046800) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA10046800) | |
Enumeration Date | 2011-08-11 |
Last Update Date | 2024-04-10 |