NPI | 1467493536 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A69106) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 12221) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2020-05-29 |