NPI | 1336468636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NE 30395) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TN MD53147) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2024-03-16 |