| NPI | 1477882876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NM NM 2009-0729) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NM NM 2009-0729) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |