NPI | 1194929174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0064493) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 257838) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2025-05-01 |