NPI | 1598789570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: TX M2924) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: NM MD2018-0864) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-05-19 |