NPI | 1316106131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 9282119-1205) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11013885A) |
2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 41926) | |
Enumeration Date | 2008-06-06 |
Last Update Date | 2023-11-27 |