NPI | 1477556082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AL 11064) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AL 11064) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2017-06-19 |