NPI | 1124644018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME174451) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 64082) |
Enumeration Date | 2020-06-17 |
Last Update Date | 2025-06-16 |