NPI | 1275859910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 43187) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IA 43187) |
Enumeration Date | 2010-04-19 |
Last Update Date | 2016-10-19 |