NPI | 1437137999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00012413) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: WA MD00012413) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2010-11-01 |