NPI | 1235338112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A91338) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A91338) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2013-02-28 |