NPI | 1356364608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C133930) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD427217) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2015-01-14 |