NPI | 1225323355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2016-00135) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A122822) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2016-08-19 |