NPI | 1184986879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: GU M-2364) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A129865) |
Enumeration Date | 2012-06-09 |
Last Update Date | 2023-03-13 |