| NPI | 1184825283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: TN 62775) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: IN 01066928A) |
| 2085R0001X Radiology Radiation Oncology (Licence: CA A94346) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-07-12 |