| NPI | 1780814863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036128951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MAO8560600) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2023-08-04 |