NPI | 1598939613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 79292) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-11266) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD153978) | |
Enumeration Date | 2008-04-18 |
Last Update Date | 2011-10-14 |