NPI | 1134623796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U2444) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NC 2023-00724) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2024-06-20 |