| NPI | 1598837569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology Therapeutic Radiology (Licence: MN 47486) |
| Additional Taxonomies | 2085R0203X Radiology Therapeutic Radiology (Licence: HI 16767) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-12-07 |