NPI | 1780661702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 42315) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 45918) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2020-08-13 |