NPI | 1114978210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A86524) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 31066) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2014-07-21 |