| NPI | 1982703781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD056407L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA079377) |
| 207R00000X Internal Medicine (Licence: PA MD056407L) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ MA079377) | |
| 207RH0000X Internal Medicine, Hematology (Licence: NJ 25MA07937700) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-03-30 |