NPI | 1780826453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA DO.000357) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M0236) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2015-11-16 |