| NPI | 1023279395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NH 15594) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: CT 00000000000) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-06-06 |