NPI | 1427671924 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085N0700X (Licence: MI 4301507718) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4351046207) |
Enumeration Date | 2020-05-19 |
Last Update Date | 2025-06-15 |