| NPI | 1013084912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX F8420) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: GA 31879) |
| 2085R0001X Radiology, Radiation Oncology (Licence: IN 01053626A) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: WI 41983020) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: MT 10480) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: WI 41983-020) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-12-14 |