NPI | 1447618350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35.142616) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AL 36774) |
2085R0001X Radiology, Radiation Oncology (Licence: FL 163841) | |
Enumeration Date | 2016-02-05 |
Last Update Date | 2024-02-06 |