NPI | 1750869376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: FL ME163336) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME163336) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2025-07-01 |