NPI | 1609049873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 72883) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD471380) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2022-11-28 |