NPI | 1326544859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 302672) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1014423) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-03-29 |