| NPI | 1619916566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA078710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA078710) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-04-12 |