NPI | 1366474728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 4833) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G51035) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2017-12-19 |