NPI | 1518946649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 107457) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME102813) |
2085R0202X Radiology Diagnostic Radiology (Licence: NM TM2005-0701) | |
2085R0202X Radiology Diagnostic Radiology (Licence: KS 04 28109) | |
2085R0202X Radiology Diagnostic Radiology (Licence: DE C1-0025717) | |
Enumeration Date | 2006-01-17 |
Last Update Date | 2024-08-20 |