NPI | 1154376143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 78860) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MA 78860) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2016-07-31 |