| NPI | 1003131558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AL MD.33808) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AL 33808) |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2024-02-01 |