NPI | 1285810515 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2013-00789) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 36639) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2017-12-20 |