NPI | 1629254305 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-7022) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 001469) |
2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 76266) | |
Enumeration Date | 2008-01-13 |
Last Update Date | 2025-04-17 |