NPI | 1568521748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 30950) |
Additional Taxonomies | 174400000X Specialist (Licence: TN 30950) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2022-10-21 |