| NPI | 1225334865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 298311) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD443367) |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2022-06-09 |