NPI | 1457662280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS13601) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036132955) |
Enumeration Date | 2010-06-26 |
Last Update Date | 2024-01-03 |