NPI | 1770705329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 23291) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 8101525-1205) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2024-04-08 |