NPI | 1013169366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 15263) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60335207) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A112079) | |
Enumeration Date | 2008-10-17 |
Last Update Date | 2014-07-02 |