NPI | 1952306219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01077206A) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: IN 01077206A) |
2085R0001X Radiology, Radiation Oncology (Licence: NM 86-165) | |
Enumeration Date | 2005-06-14 |
Last Update Date | 2021-01-25 |