NPI | 1740284009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD071371L) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D69227) |
Enumeration Date | 2005-06-02 |
Last Update Date | 2022-04-28 |