| NPI | 1881857308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NH 16115) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: VT 042.0012658) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-11-18 |