NPI | 1376119503 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: FL ME171163) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME171163) |
Enumeration Date | 2021-05-28 |
Last Update Date | 2025-02-07 |