NPI | 1245359728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 2008-00734) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: SC 30724) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2023-03-21 |