NPI | 1306889860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A50939) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A50939) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2008-02-27 |