NPI | 1518250869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MA 248551) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248551) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2016-04-04 |