NPI | 1194700625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: KY 43369) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME87407) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2013-12-12 |