| NPI | 1548751894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: HI MD-23675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76835) |
| 2085R0001X Radiology, Radiation Oncology (Licence: IL 125.073508) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-11-03 |