NPI | 1023078987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV DO1978) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS013640) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101014730) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: ME DO3620) | |
Enumeration Date | 2006-03-24 |
Last Update Date | 2023-11-08 |