NPI | 1639141682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 33557) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME140043) |
2085R0202X Radiology Diagnostic Radiology (Licence: DE C1-0025581) | |
Enumeration Date | 2006-02-03 |
Last Update Date | 2024-08-19 |