| NPI | 1154484608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD H46446) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD H0046446) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-02-20 |