NPI | 1750578241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A100868) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S2746) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2024-09-10 |