NPI | 1083943260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 255325-1) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A116262) |
2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD037931) | |
Enumeration Date | 2009-12-16 |
Last Update Date | 2018-01-16 |