NPI | 1649405028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: KY 54791) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: NY 2628841) |
2085R0001X Radiology Radiation Oncology (Licence: TX U3134) | |
2085R0001X Radiology Radiation Oncology (Licence: PA MD464262) | |
2085R0001X Radiology Radiation Oncology (Licence: AL 32717) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2023-10-17 |