NPI | 1235172446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: CA A102501) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: WI 48162) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2017-04-06 |