NPI | 1700819836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X (Licence: FL ME60816) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME60816) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2025-05-13 |