NPI | 1114982220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 9900499) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 37866) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2017-12-20 |