NPI | 1255318432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 35850) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MN 358950) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2024-09-24 |