NPI | 1740406446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0431694) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0068261) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NE 34791) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD22862) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2022-12-14 |