| NPI | 1730477555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA1157700) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NJ 25MA1157700) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD21400) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA1157700) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2024-04-11 |