| NPI | 1437148954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OK 24231) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: KS 0431073) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-04-17 |