NPI | 1609014489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME151240) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 47338) |
Enumeration Date | 2009-02-02 |
Last Update Date | 2022-08-01 |