NPI | 1841282423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G67540) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC TL31053) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2021-07-27 |