NPI | 1780117101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 23567) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 64241) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2024-06-05 |