NPI | 1326509274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AZ 61718) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AZ R77251) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2024-03-14 |