NPI | 1497137327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 68135-20) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 6428-851) |
Enumeration Date | 2015-06-27 |
Last Update Date | 2021-08-05 |