NPI | 1144495136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 46811) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2013005284) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2022-05-10 |