| NPI | 1013136886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 319664) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD D0072304) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-12-30 |