NPI | 1003878182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A44135) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A44135) |
Enumeration Date | 2006-04-04 |
Last Update Date | 2007-09-12 |