NPI | 1821065459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 35350) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: AZ 35350) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2018-12-10 |