NPI | 1669545869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101037798) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D31797) |
2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD12739) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2012-12-06 |