NPI | 1477787968 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 258794) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2014007661) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0061336) | |
Enumeration Date | 2009-05-12 |
Last Update Date | 2023-03-28 |