NPI | 1063640100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 108424) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 13434) |
Enumeration Date | 2009-06-28 |
Last Update Date | 2015-07-20 |