| NPI | 1457424285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00026694) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 00026694) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-09-16 |