NPI | 1639104201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D64452) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD431774) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2023-03-07 |