NPI | 1174973739 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A151481) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268074) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2021-05-25 |