NPI | 1073559183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 12298) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 18707) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2023-03-07 |