NPI | 1700013356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME124060) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194492) |
Enumeration Date | 2009-06-22 |
Last Update Date | 2015-07-13 |