NPI | 1235118415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 27366) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 27366) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2024-03-15 |