NPI | 1013913490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA 187309) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 187309) |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0431037) | |
Enumeration Date | 2005-06-22 |
Last Update Date | 2025-06-13 |