NPI | 1477873495 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 31372) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2016-00201) |
Enumeration Date | 2010-06-02 |
Last Update Date | 2021-02-15 |