| NPI | 1841525664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA 149884) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 276343) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2022-07-21 |