NPI | 1952322679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD062073L) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD062073L) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2018-04-13 |