NPI | 1740543339 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME122338) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME122338) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2023-01-29 |