NPI | 1487838249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 067951) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301101952) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 246300) | |
Enumeration Date | 2007-12-28 |
Last Update Date | 2024-02-21 |