NPI | 1528020906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0030836) |
Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: MD D0030836) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2019-05-31 |