NPI | 1851309843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 14706) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 21690) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2023-03-07 |