| NPI | 1487141065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA11777300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215574) |
| 2085R0001X Radiology, Radiation Oncology (Licence: PA MD473453) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2023-06-27 |