NPI | 1043831852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101028049) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5151014310) |
Enumeration Date | 2020-05-04 |
Last Update Date | 2025-06-27 |