NPI | 1275995482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0067722) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 69925) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WY 14477A) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NE 34298) | |
Enumeration Date | 2016-03-26 |
Last Update Date | 2022-07-28 |