| NPI | 1881643443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: GA 84661) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: ME ME15309) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2024-05-16 |