NPI | 1316102338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2014036375) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 53773) |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-37604) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036135396) | |
Enumeration Date | 2008-07-21 |
Last Update Date | 2017-11-14 |