NPI | 1467451435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 27980) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 28672) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2007-07-08 |