NPI | 1073954236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 255662) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 71917) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2014-07-07 |