NPI | 1043366636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 26975) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME103793) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-10-08 |