NPI | 1841333465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D72123) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MD D72123) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2021-12-16 |