NPI | 1053349449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD067042) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: PA MD067042L) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2021-06-17 |