| NPI | 1912080342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NH 7290) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: NH 7290) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2024-06-07 |