NPI | 1790726107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301032840) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MI 4301032840) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2007-10-25 |