| NPI | 1144223835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: UT 281961-1205) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G79679) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 2819611205) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2023-11-27 |