NPI | 1689600652 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 18645) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 55889) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2018-02-16 |