NPI | 1265536635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: GA 60043) |
Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: NY 154501) |
2085R0001X Radiology Radiation Oncology (Licence: CT 043800) | |
2085R0001X Radiology Radiation Oncology (Licence: CA G63032) | |
2085R0001X Radiology Radiation Oncology (Licence: NY 154501) | |
2083A0100X Preventive Medicine Aerospace Medicine (Licence: CT 043800) | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2012-11-19 |