NPI | 1649581679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A105581) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A105581) |
Enumeration Date | 2010-06-24 |
Last Update Date | 2022-08-04 |