NPI | 1750729273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 35760) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200644) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2022-01-07 |