| NPI | 1255334371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 2011-01872) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 30557) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2011-01872) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-07-13 |