NPI | 1316942667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2002002017) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-29494) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2016-05-06 |