NPI | 1609957026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
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 |