| NPI | 1043531213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A136977) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD P27138) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2016-05-31 |