NPI | 1861699944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA09130900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 242582) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 18662) | |
Enumeration Date | 2007-07-02 |
Last Update Date | 2023-02-21 |