NPI | 1508988775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD210001732) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 07833) |
2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.06001R) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2024-10-29 |