NPI | 1639138688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 9300229) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: SC 16669) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2012-12-19 |