NPI | 1427131895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 52861) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 48851) |
Enumeration Date | 2006-10-21 |
Last Update Date | 2020-09-18 |