NPI | 1700047800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD14459) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT1938828) |
2085R0202X Radiology, Diagnostic Radiology (Licence: RI LPO1680) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1021190) | |
Enumeration Date | 2008-06-20 |
Last Update Date | 2024-10-07 |