| NPI | 1720262330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C 53872) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA06515300) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-12-01 |