NPI | 1497753768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WV 11545) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35054412) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2007-10-16 |