NPI | 1598060436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P3490) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A104035) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2012-06-07 |