NPI | 1366465080 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.022201) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 22201) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2009-09-03 |