NPI | 1679517932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: DE C10006474) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD D0058737) |
2085R0001X Radiology, Radiation Oncology (Licence: PA MD022600E) | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2015-02-13 |