NPI | 1245389154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A101476) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT185064) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2011-09-14 |