NPI | 1184019572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 63638) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 64011) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2025-07-23 |