NPI | 1780886820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301088496) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 069958) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2015-08-26 |