NPI | 1144213661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 5087) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD040028E) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2012-09-26 |