NPI | 1821087263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2002000093) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MO 2002000093) |
Enumeration Date | 2005-10-18 |
Last Update Date | 2012-08-02 |