| NPI | 1952345571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX F8807) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01026506A) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-07-21 |