NPI | 1659321438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2004012743) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD219727) |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-30803) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2025-06-17 |