NPI | 1316977861 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 31134) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 93496) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-07-09 |