NPI | 1447245030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 017099) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CT 017099) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2022-09-26 |