NPI | 1679792998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 248297) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 231173) |
2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD12428) | |
Enumeration Date | 2007-04-25 |
Last Update Date | 2008-10-02 |