NPI | 1063528206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A51254) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA A51254) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2019-12-18 |