NPI | 1568415727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G65463) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD26550) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2025-03-05 |