NPI | 1063702603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D81267) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0010155) |
Enumeration Date | 2011-04-16 |
Last Update Date | 2017-08-09 |