NPI | 1174815849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A130491) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 251502) |
Enumeration Date | 2011-05-12 |
Last Update Date | 2022-07-21 |