NPI | 1497810659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D43321) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101235325) |
2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD19700) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2021-05-30 |