NPI | 1962437368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101233110) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: VA 0101233110) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2008-09-22 |