NPI | 1508898974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 7398) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G87403) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2017-12-18 |