NPI | 1225467681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI DO00946) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL UO3837) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS15299) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 285531) | |
Enumeration Date | 2013-11-06 |
Last Update Date | 2021-08-30 |