| NPI | 1598938516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D84178) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TX N2192) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2018-03-17 |