NPI | 1508095423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 21488) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N7691) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0055202) | |
Enumeration Date | 2009-07-13 |
Last Update Date | 2024-10-26 |