NPI | 1366948242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.151209) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01090096A) |
Enumeration Date | 2018-04-01 |
Last Update Date | 2024-06-25 |