NPI | 1114667193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 69465) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R79381) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2023-09-27 |