| NPI | 1043847114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC RTL21-1087) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A195171) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-05-25 |