NPI | 1477544948 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD10286) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI 10286) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2019-03-20 |