NPI | 1508887175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD26225) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 039460) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2018-02-22 |