| NPI | 1770527624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX J4613) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX J4613) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-06-24 |