NPI | 1629177936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: LA 202753) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD00038248) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2011-12-28 |