NPI | 1790276079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A173721) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 276542) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2023-07-11 |