NPI | 1548214836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 2093751) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA06683700) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2007-07-08 |