NPI | 1750350112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 23640) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: SC 13834) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2012-07-02 |