NPI | 1346237369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0063737) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD018124E) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2007-11-13 |