| NPI | 1821083064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA07342700) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD066713L) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-12 |