| NPI | 1255513859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OK 29428) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01064419A) |
| 2085R0001X Radiology, Radiation Oncology (Licence: CA 85308) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2014-01-20 |