NPI | 1033373287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A100569) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301108735) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME142683) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0025770) | |
Enumeration Date | 2008-07-17 |
Last Update Date | 2024-08-23 |