| NPI | 1689699985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME38177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME38177) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME38177) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: FL ME38177) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-03-29 |