NPI | 1184626574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME95745) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 53265) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2023-11-02 |