| NPI | 1467784439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME114209) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA09429500) |
| 2085R0001X Radiology, Radiation Oncology (Licence: FL TRN14385) | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2019-10-31 |