NPI | 1538150180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME168078) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 213372) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX P6758) | |
Enumeration Date | 2005-11-02 |
Last Update Date | 2024-11-01 |