NPI | 1477509644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101051681) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301076457) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.123144) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD044643E) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2018-02-08 |