NPI | 1417968272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60574100) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD194827) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2024-08-30 |