NPI | 1982793808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA G34598) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: CA G34598) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2021-10-21 |