NPI | 1790990141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 14132) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A118895) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2017-12-18 |