NPI | 1689257214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AZ R78643) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R78643) |
Enumeration Date | 2021-05-02 |
Last Update Date | 2022-06-02 |