NPI | 1528011806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C194302) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-14773) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2025-03-12 |