NPI | 1003064395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD041651) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT036319) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2014-10-09 |