NPI | 1023227824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: TX P2330) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: MI 4301086176) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2021-01-06 |