NPI | 1528078110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 27174) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 22238) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2013-02-21 |