NPI | 1336123967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME84408) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 050554) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2023-07-27 |