NPI | 1679571582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 10847) |
Additional Taxonomies | 174400000X Specialist (Licence: OK 10847) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2019-01-02 |