NPI | 1063641504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MA 254507) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: RI MD20328) |
Enumeration Date | 2009-07-06 |
Last Update Date | 2025-01-07 |