NPI | 1841429008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 27607) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD437673) |
Enumeration Date | 2009-07-09 |
Last Update Date | 2022-07-13 |