| NPI | 1932101664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07500700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD055027L) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD055027L) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA07500700) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2017-01-03 |