NPI | 1801058375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D73318) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD442580) |
2085R0001X Radiology, Radiation Oncology (Licence: VA 0101246387) | |
2085R0001X Radiology, Radiation Oncology (Licence: HI MD-18933) | |
Enumeration Date | 2008-06-26 |
Last Update Date | 2024-06-26 |