NPI | 1609070945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 12638) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301079553) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036117717) | |
Enumeration Date | 2007-06-12 |
Last Update Date | 2011-04-04 |