NPI | 1821313966 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: AZ 49151) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 16525451921) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2015-01-20 |