NPI | 1134126220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX H8803) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MN 70262) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2021-09-28 |