| NPI | 1437224011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: GA 58775) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL trn 7014) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-07-19 |