NPI | 1184672024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 36719) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR 21536) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2019-02-18 |