NPI | 1588692495 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 192522) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NY 192522) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2013-07-31 |