NPI | 1427094465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: AL MD8284) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM 2003-0375) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD37322) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00008284) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2018-05-24 |