NPI | 1730190299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101236414) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200401258) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2013-06-26 |