NPI | 1891763124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 5842) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 12628) |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD436002) | |
Enumeration Date | 2006-03-11 |
Last Update Date | 2016-06-27 |