NPI | 1285926410 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 60371) |
Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: MN 60371) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2021-04-14 |