NPI | 1164658472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0072431) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA md458383) |
Enumeration Date | 2009-06-02 |
Last Update Date | 2019-04-24 |