NPI | 1710949482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 215534) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M9298) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2023-05-24 |