NPI | 1144278334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TN MD0000012151) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: VA 0101026611) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2007-07-08 |