| NPI | 1477878767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: AZ 52188) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: CA A135110) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2019-07-24 |