NPI | 1336153345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200301340) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 26482) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 224969) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD071482L) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-10-18 |