NPI | 1366428351 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A54637) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-16080) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2022-01-20 |