NPI | 1982665618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D08245) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0008245) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2016-09-16 |