NPI | 1225307978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D80741) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: DC MD047506) |
Enumeration Date | 2011-12-27 |
Last Update Date | 2021-07-22 |