| NPI | 1558450841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: ND 11140) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: SC 27789) |
| 2085R0001X Radiology, Radiation Oncology (Licence: AL MD.29576) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: IA 41254) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: NC 2009-00810) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: IN 1067715A) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: GA 62792) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-04-04 |