NPI | 1932197803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD08653) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI 8653) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2019-03-18 |