| NPI | 1124268859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA OS013890) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD H70464) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2024-02-16 |