NPI | 1114000882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 26967) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME103552) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2013-09-13 |