NPI | 1790786747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD069586L) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD069586L) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2020-10-10 |