| NPI | 1235161548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q4418) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD059654L) |
| 2085R0001X (Licence: PA MD059654L) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-10-26 |