NPI | 1437154614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-14018) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2005009948) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2010-07-13 |