NPI | 1043311202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 25726) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 36500) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0073191) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: WY 16969A) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2024-08-16 |