NPI | 1326032665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 05320) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME22971) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2011-06-15 |