NPI | 1891790002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-18433) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2004033203) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2016-05-31 |