NPI | 1710147814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: KY 51103) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: KY TP372) |
2085R0001X Radiology, Radiation Oncology (Licence: OH 35095286) | |
Enumeration Date | 2008-06-11 |
Last Update Date | 2022-06-22 |