NPI | 1871836312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101266407) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0087858) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2022-02-04 |