| NPI | 1710040399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 054844) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NJ MA70045) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-06-15 |