NPI | 1831325919 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: SC 36715) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: SC TL36715) |
207R00000X Internal Medicine (Licence: NC 157108) | |
Enumeration Date | 2009-06-03 |
Last Update Date | 2023-05-31 |