| NPI | 1083853568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: TX M8196) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: PA MD431781) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2024-09-13 |