NPI | 1558387365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200000603) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 00127877) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2023-04-27 |