| NPI | 1174784540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OK 27100) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: OK 27100) |
| 2085R0001X Radiology, Radiation Oncology (Licence: MO 2015038139) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2024-09-02 |