NPI | 1326425646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A44125) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 326828) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2025-07-21 |