NPI | 1063468734 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0037574) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J7854) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME160563) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2024-03-29 |