| NPI | 1780752881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: FL ME80265) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME80265) |
| 2085R0001X (Licence: AL MD.10275) | |
| 2085R0001X (Licence: FL ME80265) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-05-08 |