NPI | 1528003373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D14152) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD D47485) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2014-01-17 |