NPI | 1659361582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 25415) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME40986) |
Enumeration Date | 2005-10-22 |
Last Update Date | 2024-07-05 |