| NPI | 1740254945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA07642100) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 1944771) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |