NPI | 1396734430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 14667) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME103581) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2022-11-21 |