NPI | 1699793455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D55778) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 101131) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-07-31 |