NPI | 1194739375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0058193) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A95402) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2010-12-16 |