NPI | 1780844340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A110279) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R70165) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2022-12-01 |