| NPI | 1043239700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 35713) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: GA 29223) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-11-30 |