NPI | 1780820050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: UT 9876845-1205) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: ID M12074) |
Enumeration Date | 2008-12-16 |
Last Update Date | 2021-11-11 |