NPI | 1164511960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A32707) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A32707) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-08-30 |