| 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 |