NPI | 1053456806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A102748) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01063009A) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2008-06-28 |