NPI | 1841322179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 22693) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 41084) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2023-03510) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35090137) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2024-05-07 |