NPI | 1477710127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A117764) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT189054) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2017-07-09 |