NPI | 1639268253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G76083) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 25117) |
2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD26968) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2024-07-02 |