NPI | 1295749851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.08792R) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0050358) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2014-05-21 |