NPI | 1346703394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1022608) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD19762) |
Enumeration Date | 2019-04-08 |
Last Update Date | 2025-05-14 |