| NPI | 1447231915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A77188) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 221882) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2010-07-21 |