NPI | 1194288373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 98888) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 10802) |
207R00000X Internal Medicine (Licence: GA 10802) | |
Enumeration Date | 2019-04-13 |
Last Update Date | 2024-02-28 |