NPI | 1225018419 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 39688) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WI 32368) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2022-11-09 |