NPI | 1922114826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AZ 55113) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD61258655) |
2085R0001X Radiology, Radiation Oncology (Licence: ME MD19224) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2023-05-08 |