NPI | 1063832335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 82641) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 282835) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2023-09-05 |