NPI | 1477715589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 63716) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR-48016) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CO 48016) | |
Enumeration Date | 2008-06-30 |
Last Update Date | 2021-11-17 |