NPI | 1801854732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME110178) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 41695) |
2085R0202X Radiology Diagnostic Radiology (Licence: NH 11409) | |
2085R0202X Radiology Diagnostic Radiology (Licence: MA 213739) | |
2085R0202X Radiology Diagnostic Radiology (Licence: GA 62818) | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2022-07-01 |