NPI | 1861452252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 9500696) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 23172) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2020-09-13 |