NPI | 1881631935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 39387) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 25105) |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-36535) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD17525) | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2024-03-31 |