NPI | 1437238672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N1583) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME137676) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2022-07-28 |