NPI | 1932177268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35125681) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NJ MA25MA07298200) |
2085R0001X Radiology, Radiation Oncology (Licence: NY 1827981) | |
Enumeration Date | 2006-03-11 |
Last Update Date | 2016-07-27 |