| NPI | 1194798165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 206678-1) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD419971) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2023-11-30 |