| NPI | 1811104292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA07824300) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ MA78243) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-02-09 |