NPI | 1679555452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D43914) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: VT 042.0016222) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2023-10-26 |