NPI | 1770044547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 73577) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 1770044547) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2025-07-24 |