NPI | 1871515734 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A48604) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 35041) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2022-12-15 |