NPI | 1487938254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A141086) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059518) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A141086) | |
Enumeration Date | 2011-09-28 |
Last Update Date | 2024-04-07 |