NPI | 1043446834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 43010108641) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 60798) |
Enumeration Date | 2009-06-07 |
Last Update Date | 2022-01-28 |