NPI | 1487929758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101263813) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0083138) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MD D83138) | |
Enumeration Date | 2012-03-19 |
Last Update Date | 2020-01-27 |