NPI | 1437360864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301086293) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH AU2866626-U038) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2011-05-11 |