NPI | 1093000747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 70711) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC MD34530) |
Enumeration Date | 2011-06-10 |
Last Update Date | 2022-03-29 |