| NPI | 1346309085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME101714) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A91189) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-04-22 |