NPI | 1558432336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: DC MD4034) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: DC MD4034) |
2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD4034) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2017-09-19 |