NPI | 1669450979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: WA MD00039582) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-12313) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00039582) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: AK S-4958) | |
Enumeration Date | 2006-01-06 |
Last Update Date | 2018-03-28 |