NPI | 1609213453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 26696) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 107010) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MN 56828) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: SD 10883) | |
Enumeration Date | 2013-06-03 |
Last Update Date | 2024-12-03 |