NPI | 1548549736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 73506) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 250512) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2025-07-24 |