NPI | 1669645065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q2215) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60475111) |
Enumeration Date | 2008-04-07 |
Last Update Date | 2024-04-16 |