NPI | 1447287651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G76713) |
Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: CA G76713) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2008-08-29 |