| NPI | 1083606511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00019860) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: WA MD00019860) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-11-26 |