NPI | 1730445339 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL MD.33272) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 325179) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2021-06-22 |