NPI | 1235780073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME165585) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: FL ME165585) |
Enumeration Date | 2019-09-23 |
Last Update Date | 2024-09-10 |