NPI | 1568729598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 48338) |
Additional Taxonomies | 208600000X Surgery (Licence: LA 300727) |
Enumeration Date | 2012-04-16 |
Last Update Date | 2024-05-06 |