NPI | 1518997220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 36645) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-111854) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A105258) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2015-07-21 |