| NPI | 1568571537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: GA 036092) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME97873) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-07-21 |