| NPI | 1467615708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: KY 44467) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01069939A) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2024-07-26 |