NPI | 1932177011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OK 20141) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: VA 0101052684) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2007-07-08 |