NPI | 1417941832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL DO456) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS-8463) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2007-09-26 |