NPI | 1265478309 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA G30525) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA G30525) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2014-04-28 |