NPI | 1508186131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME1298710) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME129710) |
Enumeration Date | 2010-06-05 |
Last Update Date | 2022-03-08 |