| NPI | 1912932765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA07213300) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 165212) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 50476) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 050476) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-10-26 |