NPI | 1740254622 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00046029) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 40338) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2024-03-29 |