| NPI | 1700185691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA09667600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272409) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2022-02-22 |