NPI | 1003128232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 276964) |
Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: NY 276964) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2024-02-22 |