| NPI | 1326509274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AZ 61718) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AZ R77251) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-03-14 |