NPI | 1548218464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 15146) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: AZ 24628) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2014-08-27 |