NPI | 1912969510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 68727) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME92285) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2018-05-01 |