NPI | 1598753618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X (Licence: OK 33676) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 33676) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2025-09-03 |