NPI | 1760470322 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD071123L) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME159266) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2022049597) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036158936) | |
Enumeration Date | 2005-10-07 |
Last Update Date | 2024-04-18 |