NPI | 1255692935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A149455) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 312462) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2024-03-13 |