NPI | 1568572519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX FTL 42635) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WA TR00045282) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX FTL 42195) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2009-07-15 |