NPI | 1376677203 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME20624) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD3884) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2007-07-08 |