NPI | 1710281654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD H72120) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS014793) |
2085R0202X Radiology, Diagnostic Radiology (Licence: DE C2-0008715) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: DC DO034339) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102202856) | |
Enumeration Date | 2011-01-07 |
Last Update Date | 2024-10-12 |