| NPI | 1427280593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: NY 277422) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: CA A114081) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2015-01-26 |