NPI | 1518393768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S2716) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D82398) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 285728) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: KY 54213) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: CT 65883) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2020-01079) | |
Enumeration Date | 2013-09-19 |
Last Update Date | 2024-11-19 |