NPI | 1669440236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: WI 44018) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 44018) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2023-04-12 |