NPI | 1720277130 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: CA G36565) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G36565) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2014-05-13 |