NPI | 1841366770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 51546-020) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A97631) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2003007553) | |
Enumeration Date | 2006-11-24 |
Last Update Date | 2019-08-29 |