NPI | 1083135180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2017022167) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2017022167) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2019-08-12 |