NPI | 1821023813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200701004) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 227476) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2012-02-29 |