NPI | 1811921935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA a31718) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a31718) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2008-05-22 |