NPI | 1992842603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 36072) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: AZ 36072) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2013-02-27 |