NPI | 1184885683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: WI 54428) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 54428) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2010-07-30 |