NPI | 1538152731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 33399) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 000033399) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2010-07-20 |