| NPI | 1932159860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01062683A) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA MA220699) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2009-12-22 |