NPI | 1346279973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 19366) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 30978) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IA 31638) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2023-03-07 |