NPI | 1164417978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 71613) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 9665) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2023-08-17 |