NPI | 1407829922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M3211) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD426932) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2012-08-15 |