NPI | 1356331656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M3887) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: TX M3887) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CT 041588) | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2019-09-20 |