NPI | 1851822092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A184987) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2017-03-21 |
Last Update Date | 2023-07-10 |