| NPI | 1659530608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA09722600) |
| Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA09722600) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2022-06-06 |