NPI | 1396056974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R7528) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TX R7528) |
2085N0904X Radiology, Nuclear Radiology (Licence: TX R7528) | |
Enumeration Date | 2010-06-29 |
Last Update Date | 2023-10-02 |