NPI | 1144752817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 103534) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0086839) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2025-03-12 |