| NPI | 1194725937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01058969A) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NV 13738) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2023-11-27 |