| NPI | 1467433193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0205X Radiology, Radiological Physics (Licence: AL 7261) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 7261) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2010-09-07 |