NPI | 1639431992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 228104) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251535) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2017-04-04 |