NPI | 1720399546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD457330) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197836) |
2085R0202X Radiology Diagnostic Radiology (Licence: PA MT197836) | |
Enumeration Date | 2010-06-25 |
Last Update Date | 2020-08-05 |