NPI | 1013113026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 27575) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A115719) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2025-08-21 |