NPI | 1609254754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T1296) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052883) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2022-12-02 |