NPI | 1245205624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME51051) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME51051) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2023-06-21 |