NPI | 1194229906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A164515) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 227235) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2025-03-12 |