NPI | 1760610380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 36732) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 003550) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2015-03-09 |