NPI | 1538588991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A139634) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 43853) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2023-02-28 |