NPI | 1497779961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 04-34084) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-259534) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2013-09-18 |