NPI | 1144740861 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NC 2019-02277) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214524) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2023-02-15 |