NPI | 1780674135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101047037) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME166268) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2024-03-11 |