NPI | 1275629578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD435902) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NC 2001-00595) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2022-09-21 |