NPI | 1366472102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 27996) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TX 45760) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2022-08-31 |