NPI | 1023086261 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 11554) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: OK 11554) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2011-01-26 |