NPI | 1427507458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD204966) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61069008) |
Enumeration Date | 2016-10-03 |
Last Update Date | 2021-08-24 |