| NPI | 1598710857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA G82088) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA G82088) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-11-16 |