NPI | 1407083058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AR E11178) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OK 27299) |
Enumeration Date | 2009-06-22 |
Last Update Date | 2023-08-18 |