| NPI | 1659489581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: FL ME99167) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME99167) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-09-13 |