| NPI | 1447416417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: DC MD045224) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA08439100) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2022-07-21 |