NPI | 1427114602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A42976) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A42976) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A42976) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2007-07-09 |