NPI | 1477528636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L6529) |
Additional Taxonomies | 174400000X Specialist (Licence: TX L6529) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2017-03-10 |