NPI | 1417930140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A23754) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A23754) |
Enumeration Date | 2005-11-28 |
Last Update Date | 2022-04-05 |