NPI | 1346534294 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 27791) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 41676) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CO 57541) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-39564) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD18914) | |
Enumeration Date | 2011-06-07 |
Last Update Date | 2024-03-31 |