NPI | 1598727026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME57215) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME57215) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2011-10-26 |