NPI | 1699782912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E3490) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 41011) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2022-03-10 |