NPI | 1881685063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2008-00201) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 219877) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2020-09-13 |