NPI | 1427045137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: MA 58079) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 58079) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2012-09-24 |