NPI | 1255505368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD164147) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 141410) |
Enumeration Date | 2008-04-18 |
Last Update Date | 2024-06-11 |