NPI | 1467686246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 61245495) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A123195) |
2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 53927) | |
Enumeration Date | 2009-05-08 |
Last Update Date | 2022-07-20 |