NPI | 1033566534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AL MD.42458) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AL 42458) |
2085R0001X Radiology, Radiation Oncology (Licence: GA 98422) | |
Enumeration Date | 2016-05-16 |
Last Update Date | 2024-05-22 |