| NPI | 1457366932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OK 27418) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL 12949) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-08-07 |