NPI | 1457671000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: DE C1-0011828) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD458830) |
Enumeration Date | 2010-06-07 |
Last Update Date | 2016-10-18 |