| NPI | 1851577183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME105206) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: GA 061319) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-09-26 |