NPI | 1467475442 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C168272) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD23292) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2023-02-22 |