NPI | 1841295102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WI 30374) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MN 70134) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2023-09-29 |