NPI | 1184793226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 074019) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD12803) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 156625) | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2019-05-03 |