NPI | 1851389738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD444420) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IA SP 160) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2024-08-23 |