NPI | 1780683805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD060402L) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD060402l) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2020-10-09 |