NPI | 1679956817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME142419) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263930) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2023-03-28 |