NPI | 1053601757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME164130) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 077038) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MS 26607) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: TN 55279) | |
Enumeration Date | 2011-04-14 |
Last Update Date | 2024-01-04 |