NPI | 1437320256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P7949) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A102830) |
2085R0202X Radiology, Diagnostic Radiology (Licence: AR E8081) | |
Enumeration Date | 2008-03-19 |
Last Update Date | 2013-09-16 |