NPI | 1184735797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 14324020) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 15507) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301022344) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036038134) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |