NPI | 1851684120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0055006) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CO DR55006) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2023-12-27 |