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 |