NPI | 1669444337 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00007989) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME90164) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NC 0000-20942) | |
Enumeration Date | 2006-02-06 |
Last Update Date | 2011-11-02 |