| NPI | 1386756245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: CA A119238) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: WA MD60151905) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: WA MD60151905) | |
| 2085R0001X Radiology Radiation Oncology (Licence: FL ME99214) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-01-24 |