NPI | 1871758201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: VT 042-0003147) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042-0003147) |
Enumeration Date | 2008-07-24 |
Last Update Date | 2008-07-24 |