NPI | 1124078241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME34062) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL ME34062) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2014-11-21 |