NPI | 1821062704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D22299) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101031814) |
2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD33242) | |
Enumeration Date | 2006-02-15 |
Last Update Date | 2012-12-06 |