NPI | 1245344431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35.074278) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CO DR.0067105) |
2085R0001X Radiology, Radiation Oncology (Licence: NY 183421) | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2023-04-05 |