NPI | 1770748543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2012027552) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2008020873) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2013-08-02 |