| NPI | 1225270325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: HI MD18975) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA a124219) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2023-02-23 |