NPI | 1679556195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC DO210012511) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01053854A) |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS015365) | |
Enumeration Date | 2005-11-29 |
Last Update Date | 2025-05-07 |