NPI | 1659606325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD441788) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 24039) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2019-02-27 |