NPI | 1073799763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200401274) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 34335) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2017-12-20 |