NPI | 1689791493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101245471) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A73178) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX M5291) | |
Enumeration Date | 2007-03-25 |
Last Update Date | 2011-07-22 |