NPI | 1386891182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A142050) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NY 264849) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 264849) | |
Enumeration Date | 2008-08-22 |
Last Update Date | 2016-05-26 |