NPI | 1093942534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: KY 45172) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-240344) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2016-01-01 |