NPI | 1477591154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A82528) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D79826) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME112607) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036166384) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2023-08-31 |