NPI | 1275522997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME83157) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 47695) |
Enumeration Date | 2005-10-14 |
Last Update Date | 2016-11-02 |