NPI | 1225035348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD0419123) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD419123) |
2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD419123) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2014-03-13 |