NPI | 1629021811 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME81701) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL ME81701) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2015-07-06 |