NPI | 1649599630 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.205327) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 34147) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME143231) | |
Enumeration Date | 2010-05-31 |
Last Update Date | 2025-03-10 |