NPI | 1306021407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2021-02571) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.026540) |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101273090) | |
Enumeration Date | 2008-01-08 |
Last Update Date | 2024-10-07 |