| NPI | 1912314840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA11121700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT206484) |
| 207R00000X Internal Medicine (Licence: PA MD461645) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2021-08-18 |