NPI | 1275664096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0065892) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 18576) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2023-04-28 |