NPI | 1881089456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101282615) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY TP355) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MD D89678) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2024-07-12 |