NPI | 1720168586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA C30218) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: CA C30218) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2007-07-09 |