NPI | 1699741546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RM1200X Internal Medicine Magnetic Resonance Imaging (MRI) (Licence: PA OS009600L) |
Additional Taxonomies | 174400000X Specialist (Licence: PA OS009600) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2018-04-09 |