NPI | 1780926022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35.141093) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD466186) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2024-10-08 |