NPI | 1174528798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MD D0030426) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: WV 28596) |
2085R0001X Radiology, Radiation Oncology (Licence: WV 28596) | |
Enumeration Date | 2005-06-20 |
Last Update Date | 2019-04-11 |