NPI | 1437109709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A33568) |
Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: CA A33568) |
2085U0001X Radiology Diagnostic Ultrasound (Licence: CA A33568) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2011-03-01 |