| NPI | 1144429614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35120913) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD485619) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2024-12-06 |