| NPI | 1437166139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CO 44277) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME4990) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-04-10 |