NPI | 1174568026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2019-01986) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G63491) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2023-03-29 |