NPI | 1124184973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0008400) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101241001) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2012-12-18 |