| NPI | 1346291465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX 45612) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD D63290) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2016-12-08 |