NPI | 1902199391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D82019) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: DC MD046314) |
Enumeration Date | 2011-05-18 |
Last Update Date | 2019-03-18 |