| NPI | 1427257823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME99517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME99517) |
| 2085R0001X Radiology, Radiation Oncology (Licence: TX N9188) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2016-10-12 |