| NPI | 1912153792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA08080500) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD427270) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NJ 25MA08080500) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2018-05-21 |