NPI | 1285840819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E5806) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2005-01723) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2023-11-17 |