NPI | 1275682981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101055408) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0043342) |
2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD19943) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2011-10-26 |