NPI | 1265673511 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A1071490) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT186957) |
Enumeration Date | 2009-03-17 |
Last Update Date | 2021-11-22 |