NPI | 1447224654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D52025) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0009205) |
207P00000X Emergency Medicine (Licence: MD D0052025) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD434633) | |
Enumeration Date | 2006-02-14 |
Last Update Date | 2013-01-29 |