| NPI | 1841213048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NJ MA08228700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD070072L) |
| 207RH0000X Internal Medicine Hematology (Licence: PA MD070072L) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: PA MD070072L) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-01-21 |