NPI | 1699903930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: ND 13566) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 59265) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2019-03-01 |