NPI | 1467489625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 166260) |
Additional Taxonomies | 2085R0205X Radiology Radiological Physics (Licence: NY 166260) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2011-11-03 |