| NPI | 1811192099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 245000) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A83877) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-12-26 |