NPI | 1497716781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CO DR0062949) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OK 19729) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2020-01-22 |