NPI | 1891799557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-25896) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R6D10) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2016-04-29 |