| NPI | 1932360617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA08416200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08416200) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-06-27 |