| NPI | 1750303160 |
|---|---|
| Other Name | JACOB EDWARD LOCKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX N3843) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35085207) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-11-11 |