NPI | 1710986716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 95099446) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 21219) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2017-12-20 |