NPI | 1053844209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0116031398) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76003) |
Enumeration Date | 2017-04-05 |
Last Update Date | 2022-08-16 |