NPI | 1184651366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101011119) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 5101011119) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2022-07-21 |