NPI | 1447221452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS002735L) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: PA OS002735L) |
Enumeration Date | 2006-01-28 |
Last Update Date | 2011-01-04 |