NPI | 1134382237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A177317) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0073916) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2025-04-25 |