NPI | 1528131133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD047928) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 242636) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2023-02-08 |