| NPI | 1093127425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AL MD.34345) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AL 34345) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-02-01 |