NPI | 1275538449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200400578) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NC 2004-00578) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2020-09-13 |