NPI | 1619188661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME143305) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01069066A) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2023-03-28 |