NPI | 1679524904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 37631) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 17633) |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-34796) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NE 25241) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: TN 29742) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2024-03-31 |