NPI | 1578725990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A110416) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MDR-5511) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2022-10-28 |