| NPI | 1528003373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D14152) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD D47485) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-01-17 |