NPI | 1578725958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 236741) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD453736) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2018-11-19 |