| NPI | 1245268085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NV 13672) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME93773) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-03-21 |