NPI | 1679513295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME95452) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME95452) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2023-01-26 |