| NPI | 1043226285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD433610) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD D64573) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-09-16 |