NPI | 1013008754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 23414) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M8614) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2008-02-12 |