NPI | 1548426018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA 107426) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD60011984) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2011-05-11 |