NPI | 1558370072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G42474) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA G42474) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2012-03-27 |