| NPI | 1609957026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA49832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD006257E) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NJ MA49832) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD006257E) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-11-29 |