NPI | 1326036559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 239607-01) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS9538) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NV 1276) | |
Enumeration Date | 2005-10-11 |
Last Update Date | 2022-09-06 |