NPI | 1073174694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 67910) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL15753) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2020-08-26 |