NPI | 1851512941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OR MD26850) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: OR MD26850) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-01-07 |