NPI | 1972501310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME64373) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL ME64373) |
Enumeration Date | 2005-07-11 |
Last Update Date | 2008-01-21 |