NPI | 1083975460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ R73381) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73381) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2024-06-13 |