| NPI | 1699776906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085H0002X Radiology, Hospice and Palliative Medicine (Licence: GA 11972) |
| Additional Taxonomies | 2085R0001X (Licence: GA 011972) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2025-04-08 |