NPI | 1871578336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 9600607) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NC 9600607) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2010-10-08 |