| NPI | 1295799252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D0038447) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: VA 0101048650) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2014-02-25 |