NPI | 1215958665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL me77077) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: FL me77977) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL me77977) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2025-09-11 |