NPI | 1366647737 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A30909) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A30909) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2014-05-13 |