| NPI | 1942361209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA08172200) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD065084L) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 241651) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-08-27 |