NPI | 1225092745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AZ 17487) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: AZ 17487) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2024-06-21 |