| NPI | 1801174792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 289632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09718800) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA09718800) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2018-03-17 |