NPI | 1366555328 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 09170) |
Additional Taxonomies | 174400000X Specialist (Licence: MS 9170) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2020-04-27 |