NPI | 1275853566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2016-00710) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101284632) |
2085R0202X Radiology, Diagnostic Radiology (Licence: SC 32737) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61602173) | |
Enumeration Date | 2010-06-09 |
Last Update Date | 2025-03-25 |