NPI | 1528075140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301045815) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OH 3505508) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2007-07-08 |