NPI | 1275523805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101240483) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD14614) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2023-03-07 |