| NPI | 1215979927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: DE C1-0001763) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD D0019513) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-08-13 |