NPI | 1639137342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: WA MD00043606) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2006-05-02 |
Last Update Date | 2017-02-15 |