NPI | 1780683003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2016025637) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0428073) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2023-03-31 |