NPI | 1801975461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 354670-1205) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: ID M-5252) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2012-09-04 |