NPI | 1023246741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A108434) |
Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: CA A108434) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2017-03-21 |