NPI | 1639564479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS18894) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73108) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036146278) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2025-07-23 |