NPI | 1558339317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-19424) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: KS 04-19424) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2012-05-07 |