NPI | 1336330869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 43723) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 5126120) |
Enumeration Date | 2007-08-08 |
Last Update Date | 2023-01-17 |