NPI | 1265451702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 052861) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 23185) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2015-08-03 |