NPI | 1043345762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101247551) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 5758852-1205) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2010-09-09 |