NPI | 1043406242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0054946) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301089489) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2012019353) | |
Enumeration Date | 2007-09-20 |
Last Update Date | 2015-06-18 |