| NPI | 1114913282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OR MD218390) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA G77558) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2024-01-31 |