| NPI | 1841233541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: DC MD32344) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD32344) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-07-30 |