NPI | 1679501522 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD483132) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M4396) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2023-12-14 |