NPI | 1114975588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A105793) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 043877) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2009-01-27 |