NPI | 1467432328 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA 05007047E) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA 05007047E) |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: PA 05007047E) | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2007-07-08 |