NPI | 1467492355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0071765) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 155107) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MD D56123) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2023-11-02 |