| NPI | 1700036902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD426127) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA08581700) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2013-10-23 |