NPI | 1821158171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 45429) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CO 45429) |
2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD21074) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-43044) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NE 26237) | |
Enumeration Date | 2006-12-09 |
Last Update Date | 2022-12-13 |