NPI | 1871590232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME48726) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME48726) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2009-02-25 |