| NPI | 1447416508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME124027) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TX N0448) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2015-05-13 |