NPI | 1558604876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL OS15181) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: ND 17114) |
2085R0202X Radiology Diagnostic Radiology (Licence: MO 2020038652) | |
2085R0202X Radiology Diagnostic Radiology (Licence: AZ 007458) | |
2085R0202X Radiology Diagnostic Radiology (Licence: GA 074747) | |
Enumeration Date | 2013-04-04 |
Last Update Date | 2023-12-28 |