NPI | 1699338731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2024-02812) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 64182) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2025-08-18 |