NPI | 1376854281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2023-02351) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A122632) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A122632) | |
Enumeration Date | 2010-06-24 |
Last Update Date | 2023-10-09 |