NPI | 1588614564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G74578) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 45137) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2015-04-22 |