NPI | 1144206806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 33600) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0043173) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2018-07-23 |