NPI | 1750485108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M4077) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0064020) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 230588) | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2015-11-09 |