NPI | 1144256256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301049264) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301049264) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2022-05-11 |