NPI | 1467492926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A13124) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS005872L) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CT 67203) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2024-09-25 |