NPI | 1871565556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AK 6548) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TN MD0000036692) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2010-08-12 |