NPI | 1639465032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 17377) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO CDR.0004464) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2025-03-25 |