| NPI | 1316026511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 257087) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A97921) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2011-11-15 |