NPI | 1033117452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA G71213) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OR MD190314) |
Enumeration Date | 2005-07-09 |
Last Update Date | 2023-09-18 |