NPI | 1821205832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101244676) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2008-01342) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2019-05-16 |