| NPI | 1427155191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME62439) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL 62439) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-01-22 |