NPI | 1427546597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61326872) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 60856221) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2024-08-27 |