NPI | 1548213879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME54263) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL ME54263) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2015-07-06 |