| NPI | 1427244037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME104231) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A93245) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2019-11-12 |