| NPI | 1447442504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A88897) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TX S2827) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2022-06-06 |