NPI | 1841497757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 14779) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN11374) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2014-01-15 |