NPI | 1770558280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-038845) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD 900409) |
Enumeration Date | 2006-02-19 |
Last Update Date | 2023-12-29 |