NPI | 1538130588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME105621) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA L-224202) |
2085R0202X Radiology Diagnostic Radiology (Licence: RI MD20092) | |
Enumeration Date | 2006-01-29 |
Last Update Date | 2024-07-30 |