NPI | 1538147830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 25484) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD477613) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2024-08-13 |