NPI | 1235690207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T8695) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125.074181) |
Enumeration Date | 2019-03-30 |
Last Update Date | 2024-11-01 |