NPI | 1467912352 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 24467) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME151140) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2025-07-14 |