NPI | 1518022508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME102978) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT182615) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2011-04-25 |