NPI | 1306813910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME172364) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0034249) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2025-06-30 |