NPI | 1174841472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P8051) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 338501) |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101257848) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX 549985) | |
Enumeration Date | 2010-05-11 |
Last Update Date | 2024-05-10 |