NPI | 1306832332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 41037) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0053786) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA G88087) | |
Enumeration Date | 2005-09-26 |
Last Update Date | 2011-05-23 |