NPI | 1508098948 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 54455) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01068794A) |
Enumeration Date | 2009-08-19 |
Last Update Date | 2018-02-20 |