NPI | 1760374532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: AZ R81468) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ R81468) |
Enumeration Date | 2025-07-16 |
Last Update Date | 2025-08-08 |