NPI | 1740786847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MN 65871) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 65871) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MN 29292) | |
208600000X Surgery (Licence: MN 29292) | |
Enumeration Date | 2018-04-05 |
Last Update Date | 2023-06-30 |