NPI | 1003884016 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD26675) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 47882) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2022-02-04 |