NPI | 1700137148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS16225) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL UO3387) |
Enumeration Date | 2012-09-25 |
Last Update Date | 2024-08-08 |