NPI | 1366836553 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA a142169) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0026979) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2024-08-19 |