| NPI | 1467488767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IN 01075189A) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: MD D55742) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2016-03-23 |