NPI | 1558565226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 52247-20) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 52247) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2013-06-13 |