| NPI | 1144284894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: KY 40666) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01051193) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-09-07 |