NPI | 1316332174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A169090) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL L.4226R) |
2085R0202X Radiology, Diagnostic Radiology (Licence: GA 89308) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2021-06-23 |