NPI | 1831849439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA PTL8890) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-12709) |
Enumeration Date | 2022-03-25 |
Last Update Date | 2023-05-15 |