NPI | 1952368672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 27672) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX J3029) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2016-09-21 |