NPI | 1265498000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MA 157398) |
Additional Taxonomies | 174400000X Specialist (Licence: MA 157398) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2015-08-20 |