NPI | 1124075122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME89998) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60182987) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME19998) | |
Enumeration Date | 2006-05-27 |
Last Update Date | 2024-07-05 |