NPI | 1538266408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00047121) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD189438) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-08-30 |