NPI | 1760448559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 225033) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 043372) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2024-05-08 |