NPI | 1528403557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A132650) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A132650) |
Enumeration Date | 2013-05-03 |
Last Update Date | 2022-12-13 |