NPI | 1043475247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 40113) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R8296) |
Enumeration Date | 2008-07-28 |
Last Update Date | 2015-12-21 |