NPI | 1134565625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 18667) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A135901) |
Enumeration Date | 2013-05-11 |
Last Update Date | 2020-10-21 |