NPI | 1427017284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 9700621) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NC 9700621) |
2085R0202X Radiology, Diagnostic Radiology (Licence: SC 22173) | |
Enumeration Date | 2006-03-21 |
Last Update Date | 2023-11-29 |