NPI | 1255658548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: FL ME129325) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: NY 280170) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-04-26 |
Last Update Date | 2022-03-30 |